American Randonneur Nomination

American Randonneur Nomination Form



I ____________________________________________________       RUSA# __________
                    your name                                      your #

hearby nominate ______________________________________       RUSA# __________
                        nominee's name                             nominee's #

Brief reason for nomination:








Send this form to:

Johnny Bertrand
858 Carrick Pike
Georgetown KY 40324


Nomination deadline is December 15th